Travel Advance Request Form
Faculty or staff who have been
awarded professional development funds through the Foundation's Charles and
Neva Harrison Endowment may request up to 80% of the amount awarded by their
respective committees
in advance to assist with travel costs. The following form should be completed
and sent to the Foundation office.
Payments from this fund are made only once a month. Requests for funds must be
received in the foundation by
the 25th of the month, and payments will be made by the 10th of the following
month.
Name _____________________________________________________________
Division ___________________________________________________________
Title of Project ______________________________________________________
Date of Seminar, Conference, etc.
____________________________________
Total Amount Awarded by Faculty or Staff Development Committee _____________
Summary of expenses approved for payment
Conference registration _____________
Transportation ____________________
Lodging __________________________
Food ____________________________
Other (please list)
_________________________________________________________________
_________________________________________________________________
80% of total award: _________________
I verify that the funds requested will be used for the purposes for which they have been awarded. I agree to provide receipts for all expenses, and to return any funds in excess of my actual costs.
Signature ________________________________________ Date _____________________
After the conference, the
faculty/staff member should complete a copy of the State Travel Voucher
and submit it, along with the required receipts, to the Foundation office. The
Foundation will issue a
check to reimburse the traveler for additional verified expenses - limited to
100% of the amount
awarded by Faculty and Staff Development Committee.